KELLY CORLEY (NPI# 1518122969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518122969 |
| Entity Type | Individual |
| Full Name | KELLY CORLEY |
| Credential | NP |
| Practice Address |
2201 S Clear Creek Rd Killeen TX 76549-4110 |
| Mailing Address |
104 Gunn Ranch Rd Georgetown TX 78633-2014 |
| Practice Telephone | 8326512110 |
| Mailing Telephone | 8326512110 |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2019-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 706062 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LICENSE | 706062 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265988893 | Kelly Rodriguez Corley | Social Worker | 204 G St, 204 G St, Petaluma, CA 94954 | 2016-09-01 |
| Street Address |
2201 S CLEAR CREEK RD |
| City | KILLEEN |
| State | TX |
| Zip Code | 76549-4110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932107141 | Hector J Castro | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2005-07-12 |
| 1487265831 | Joanna Moldenhauer | Dietitian, Registered | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2020-08-10 |
| 1184234619 | Rebecca Joy Rubio | Dietitian, Registered | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2020-08-10 |
| 1619539145 | Jillian Christine Hudson | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2019-07-04 |
| 1215491717 | Nina Marie Wilson | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2019-01-29 |
| 1568946960 | Jordan Yuen | Occupational Therapist | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2018-09-20 |
| 1215418280 | Emergency Associates of Central Texas Pa | Physician Assistant | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2018-08-27 |
| 1386132942 | Alexandra Hung | Physician Assistant | 2201 S Clear Creek Rd, Killeen, TX 76549 | 2018-04-28 |
| 1114453693 | Austin Charles Miller | Hospitalist | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2017-05-03 |
| 1225579956 | Pamela Roy-kondepati | Internal Medicine | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2017-03-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630191 | Joy Angolo | Registered Nurse | 1403 Chips Drive, Unit A, Killeen, TX 76549 | 2020-05-12 |
| 1215587308 | Jacqueline Nicole Estrella | Nurse Practitioner | Med Options Killeen Nursing Homes, Kileen, TX 76549 | 2019-09-19 |
| 1366924052 | Barbara Ann Vaughn | Licensed Vocational Nurse | 413 Apt A Study Hall Loop, Killeen, TX 76549 | 2018-08-30 |
| 1124505359 | Carl R Darnall Army Medical Center | Clinic/Center | 5200 Bunny Trail, Killeen, TX 76549 | 2018-07-20 |
| 1518456961 | Robert Brott | Counselor | 1103west Stan Schuleter Loop, Building A, Suite 100, Killeen, TX 76549 | 2018-05-01 |
| 1922507417 | Family Endeavors, Inc. | Community/Behavioral Health | 1103 West Stan Schlueter Loop, Building A Suite 100, Killeen, TX 76549 | 2018-02-09 |
| 1285143859 | Jennifer Dawn Rothman | Behavioral Analyst | 4506 The Searchers Dr, Killeen, TX 76549 | 2017-09-26 |
| 1700307964 | City of Ennis | Skilled Nursing Facility | 5000 Thayer Dr, Killeen, TX 76549 | 2017-06-28 |
| 1790216190 | Neysa Stegmeyer | Nurse Practitioner | 4102 S. Clear Creek Road, Ste 107, Killeen, TX 76549 | 2017-03-27 |
| 1740721471 | Lspd At Killeen, Pllc | Dentist | 1103 West Stan Schlueter Loop Suite B-800, Killeen, TX 76549 | 2017-03-14 |
| Find all providers in zip 76549 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205394228 | Amanda Dawn Shannon | Nurse Practitioner | 2300 S Clear Creek Rd Ste 101, Killeen, TX 76549-4985 | 2019-03-08 |
| 1346887189 | Andrea C Flynn | Nurse Practitioner | 3202 S W S Young Dr Ste 102, Killeen, TX 76542-6538 | 2019-11-27 |
| 1154972198 | Megan N Biggs | Nurse Practitioner | 3106 S W S Young Dr Ste B202, Killeen, TX 76542-2000 | 2019-09-20 |
| 1285290478 | Mylien Le Loh | Nurse Practitioner | 2405 S Clear Creek Rd Ste 102, Killeen, TX 76549-5775 | 2019-05-14 |
| 1144685017 | Nicole Leigh Champion | Nurse Practitioner | 3801 Scott and White Dr, Killeen, TX 76543-5252 | 2015-12-21 |
| 1366814832 | Bineeta Shukla | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2015-10-23 |
| 1033511746 | Melissa Kay Barnes | Nurse Practitioner | 4501 S Clear Creek Rd, Killeen, TX 76549-4218 | 2014-09-24 |
| 1154674406 | Krista Lynn Strawser | Nurse Practitioner | 3800 S W S Young Dr, Suite 201, Killeen, TX 76542 | 2012-10-24 |
| 1619232311 | Patricia M Burns | Nurse Practitioner | 2201 S Clear Creek Rd, Killeen, TX 76549-4110 | 2012-07-09 |
| 1215097761 | Karen Lynn Seitz | Nurse Practitioner | 2300 S Clear Creek Rd, Killeen, TX 76549-4984 | 2006-12-12 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.